Form STD.910 Essential Functions Health Questionnaire - California

Form STD.910 Essential Functions Health Questionnaire - California

What Is Form STD.910?

This is a legal form that was released by the California State Controller’s Office - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form STD.910?
A: Form STD.910 is an Essential Functions Health Questionnaire used in California.

Q: What is the purpose of Form STD.910?
A: Form STD.910 is used to determine an employee's ability to perform essential job functions.

Q: Who needs to complete Form STD.910?
A: Employees with a disability or medical condition that may affect their ability to perform essential job functions need to complete Form STD.910.

Q: Is Form STD.910 required in California?
A: Yes, Form STD.910 is required by the California Department of Fair Employment and Housing.

Q: How should Form STD.910 be completed?
A: Form STD.910 should be completed by the employee and their healthcare provider.

Q: What information is required on Form STD.910?
A: Form STD.910 requires the employee's personal information, details on the medical condition or disability, and information on the essential job functions.

Q: Is there a fee for submitting Form STD.910?
A: No, there is no fee for submitting Form STD.910.

Q: What happens after submitting Form STD.910?
A: After submitting Form STD.910, the employer may review the information and make accommodations if needed.

Q: Can an employer reject a completed Form STD.910?
A: An employer can only reject a completed Form STD.910 if it does not provide sufficient information about the employee's ability to perform essential job functions.

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Form Details:

  • Released on October 1, 2019;
  • The latest edition provided by the California State Controller’s Office;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form STD.910 by clicking the link below or browse more documents and templates provided by the California State Controller’s Office.

Download Form STD.910 Essential Functions Health Questionnaire - California

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